Passport Size RESTD

Photo Anx “A”

To SOP No.369/2015
HEAVY INDUSTRIES TAXILA
APPLICATION FORM FOR INTERNSHIP

Name: -----------------------------------------------------------------------------------------------------------

Fathers /Guardian’s Name: --------------------------------------------------------------------------------

Home Address: ------------------------------------------------------------------------------------------------

Telephone No. ( Home):-------------------------------------------------------------------------------------

College/University: --------------------------------------------------------------------------------------------

Duration of Internship: From ----------------------------------To-------------------------------------------

Engineering Discipline: ----------------------------------------------------------------------------------------

Area of interest for R&D Project: ----------------------------------------------------------------------------

Signature of intern______________________ Name: ___________________________________

Signature of Father/Guardian:_____________ Name: ___________________________________

Signature of Principal/:___________________ Name: ___________________________________

Head of the Department of College /University.

FOR USE BY HIT ONLY

Application approved/Not approved:

R & D Topic Assigned: ------------------------------------------------------------------

Concerned Project: ----------------------------------------------------------------------

_____________________________
Signature of Competent Authority

RESTD
 RESTD

Anx “B”
To SOP No.369/2015

CURRICULUM VITAE

1. Personal Profile
a. Name : ___________________________________________________________
b. Father Name : _____________________________________________________
c. Address : _________________________________________________________
d. Contact ___________________________________________________________
e. e-mail : ___________________________________________________________
2. Education
Ser Name of Degree Name of Institute Year of CGPA/Marks
Passing
a.
b.
c.

3. Engineering Software (e.g Pro-E, Ansys, Matlab & Venlog etc.

____________________________________________________________________
____________________________________________________________________

4. Languages (e.g C++ #, HDL, Venlog) Assembly etc.

____________________________________________________________________
____________________________________________________________________

5. Major Courses Studies.

____________________________________________________________________
____________________________________________________________________

6. Semester Projects (Project’s title with brief details)

____________________________________________________________________
____________________________________________________________________
7. Any other Project (Project’s title with brief details)
____________________________________________________________________
____________________________________________________________________

RESTD
 RESTD

Anx “C”
To SOP No.369/2015
SECURITY CLEARANCE PROFORMA

a. Name: ______________________________________________________________________
b. Surname____________________________________________________________________
c. Father’s Name: _______________________________________________________________
d. Date of Birth:_________________________________________________________________
e. Place of Birth:_________________________________________________________________
f. Nationality/Religion:____________________________________________________________
g. CNIC No: ___________________________________________________________________
h. Permanent Address :__________________________________________________________
__________________________________________________________
i. Colour of Eyes: ______________________________________________________________
j. Colour of Hair: ______________________________________________________________
k. Height: ____________________________________________________________________
l. University/Institution/Company__________________________________________________
m. Factory/Dte where internee will work_____________________________________________
n. Internship Commencement Date:________________________________________________

Note: - There is mandatory requirement of depositing CLEARANCE CERTIFICATE duly signed

and stamped by Area Nazim and concerned Police Incharge alongwith this proforma .

RESTD
 RESTD
Anx “D”
To SOP No.369/2015

UNDERTAKING/AGREEMENT
(On Rs. 100/- Stamp Paper)
I, Mr________________________________S/O ______________________________________.
Computerized National Identity Card No________________________ (Attested copy attached)
Resident of __________________________________________________________________
Do hereby solemnly undertake to abide by the following:-

a. I will conform to the HIT rules and regulations enforce or hereafter to be made by the HIT
authorities and that I will do nothing inside or outside the HIT premises that will interfere with
the administration and discipline of the HIT neither I will go to Court of Law against the rules
and regulations enforce of hereafter to be made by the authorities.
b. I shall attend at least 80% of the working hours on the job. Failing which my internship may be
terminated.
c. I shall not damage the furniture /fittings /machinery or any other property belonging to HIT.
Any fulfill destruction or damage to the Govt property shall be deemed as serious offence.
I will make good of the loss/damage.
d. I will not indulge in politics of any type and will not be a member of any political
party/organization/ student federation. I will not attend any meeting of such party/org/federation
, I understand that failure to observe the above undertaking would result in disciplinary action
against me and that the decision of the HIT authority in this regards will be final.
e. I shall not indulge in gambling, possession or use of narcotics and weapons in HIT premises.
f. In case there is any dispute between me on the one hand and administration of the HIT on the
other hand regarding my involvement in a disciplinary mater or regarding the imposition of any
penalty or damages on me, the matter shall be referred to the Directory Administration HIT as
the sole arbitrator and his decision in such capacity shall be final and shall not be called in
question in any court of law as provided by Arbitration act.
g. In case of getting some minor or major bodily injury during the training the responsibility will
completely lie on my shoulders. I will not claim any compensation.
_____________________
(Signature of the student)

ATTESTED
Signature and Stamp of
Oath Commissioner
RESTD
 RESTD

Anx “E”
To SOP No.369/2015

TO BE FILLED BY FATHER/MOTHER/GUARDAIN OF THE INTERN

(On Rs. 100/- Stamp Paper)

I _________________________ Father/Mother/ Guardian of ____________________________

hereby:-

a. Fully endorse the undertaking given by my son/ward.

b. Assure that he will abide by this undertaking during his stay in the HIT.
c. Assure that my above named son/ward will not indulge in politics of any type and will not be
a member of any political party/org/student federation nor will be attend any meeting of such
party/org/federation.
d. Undertake that I will make good for any loss/damage of Govt property inflicted by my above
named son/ward.

I understand that failure to observe undertaking would result in expulsion from HIT and that the decision of
the competent authority will be final.

_______________________________________________________
(Signature of the deponent i.e Father/Mother/Guardian of the student)

Father/Mother/Guardian
Full Name __________________ Father’s Name _________________________.
CNIC _________________________________________(Attested copy attached)
Permanent Address: ___________________________________________________________
Witness-I
Full Name _________________ Father’s Name ___________________________.
CNIC ________________________________________(Attested copy attached)
Permanent Address: ___________________________________________________________
Witness-II
Full Name __________________ Father’s Name _________________________.
CNIC _________________________________________(Attested copy attached)
Permanent Address: ___________________________________________________________

ATTESTED
Signature and Stamp of
Oath Commissioner
RESTD